农垦医学
農墾醫學
농은의학
AGRICULTURAL RECLAMATION MEDICINE
2014年
4期
318-320
,共3页
电视胸腔镜%肺叶切除术%肺功能低下%肺功能%生存质量
電視胸腔鏡%肺葉切除術%肺功能低下%肺功能%生存質量
전시흉강경%폐협절제술%폐공능저하%폐공능%생존질량
Video-assisted%Thoracoscopic operation%Lobectomia%Poor pulmonary function%Pulmonary function%Quality of life
目的：探讨电视胸腔镜辅助肺叶切除术对于肺功能低下患者肺部功能及其生存质量的影响。方法：79例肺部功能低下患者随机分为对照组(n=39例)和观察组(n=38例)。给予对照组常规开胸手术，给予观察组胸腔镜手术，对比两组的肺功能、血气指标以及生存质量。结果：手术后15d，两组FVC、FEV1和MVV对比，观察组显著高于对照组(<0.05)。手术后3d，两组在PaCO2和PaO2对比，观察组的PaCO2显著低于对照组，PaO2显著高于对照组(<0.05)。治疗后，观察组在GH、BP、VT、RE、SF和MH评分均明显高于对照组(<0.05)。结论：电视胸腔镜辅助治疗能够显著改善肺功能低下患者的肺功能，改善生存质量。
目的：探討電視胸腔鏡輔助肺葉切除術對于肺功能低下患者肺部功能及其生存質量的影響。方法：79例肺部功能低下患者隨機分為對照組(n=39例)和觀察組(n=38例)。給予對照組常規開胸手術，給予觀察組胸腔鏡手術，對比兩組的肺功能、血氣指標以及生存質量。結果：手術後15d，兩組FVC、FEV1和MVV對比，觀察組顯著高于對照組(<0.05)。手術後3d，兩組在PaCO2和PaO2對比，觀察組的PaCO2顯著低于對照組，PaO2顯著高于對照組(<0.05)。治療後，觀察組在GH、BP、VT、RE、SF和MH評分均明顯高于對照組(<0.05)。結論：電視胸腔鏡輔助治療能夠顯著改善肺功能低下患者的肺功能，改善生存質量。
목적：탐토전시흉강경보조폐협절제술대우폐공능저하환자폐부공능급기생존질량적영향。방법：79례폐부공능저하환자수궤분위대조조(n=39례)화관찰조(n=38례)。급여대조조상규개흉수술，급여관찰조흉강경수술，대비량조적폐공능、혈기지표이급생존질량。결과：수술후15d，량조FVC、FEV1화MVV대비，관찰조현저고우대조조(<0.05)。수술후3d，량조재PaCO2화PaO2대비，관찰조적PaCO2현저저우대조조，PaO2현저고우대조조(<0.05)。치료후，관찰조재GH、BP、VT、RE、SF화MH평분균명현고우대조조(<0.05)。결론：전시흉강경보조치료능구현저개선폐공능저하환자적폐공능，개선생존질량。
Objective: To investigate effect of video-assisted thoracoscopic lobectomy on lung function and quality of life in patients with poor pulmonary function.Methods:79 cases of poor pulmonary function patients were randomly divided into control group (n=39 cases) and observation group (n=38 cases).The control group was given routine open chest operation, while observation group was given thoracoscopic operation. Pulmonary function,blood gas index and quality of life of two groups were compared. Results:15d after operation,FVC,FEV1 and MVV of the observation group were significantly higher than that of the control group( <0.05). 3d after operation,PaCO2 and PaO2 of the observation group were significantly better than that of the control group ( <0.05).After treatment,GH、BP、VT、RE、SF and MH scores of observation group was higher than that of control group ( <0.05). Conclusion:Video assisted thoracoscopic treatment can significantly improve lung function in patients with poor pulmonary function,improve the quality of life.
